One State Surveillance Unit and 30 District Surveillance units are functional with trained IT personnel, Hardware & Software & Video Conferencing set up.

State Surveillance Unit, District Surveillance Units & 3 Govt. Medical Colleges& hospitals of the state have been identified as training center for IDSP.

30 ADMO (PH), 13 District Surveillance Medical Officers and 21 Epidemiologists, are present to support in effective monitoring and supervision of IDSP activities in the district.

�21 Epidemiologists, one Trg Consultant, two Microbiologists,30 Data Managers and 36 Data entry operators are placed at state and district level for data collection, compilation, analysis and onward transmission for report generation and follow up action at State & district Level respectively

16 Rapid Response Team members (RRT) of vulnerable districts are trained and kept in readiness for outbreak investigation and response..

During 2013 Capacity building of 390 MOs, 12 epidemiologists, 2 microbiologists, 600 paramedical staff have been trained in IDSP Also 28 ADMO (PH) have been trained in two week FETP courses. 22 MOs have been trained for 6 days as RRT/TOT for IDSP.

Weekly data is analyzed each week to monitor trend and detect early warning signal of impending outbreaks.

State Surveillance Unit functions as state health control room during emergency like flood, Cyclone & heat wave, outbreaks it serves as control room it also functions as control room.

Completeness of reporting in 2013: Completeness of weekly reporting with respect of Form S (Health Worker) ranges between 72 - 97% & Form P (Health Institution &Medical Officer) between 71 � 89% and Form L (Laboratories) between 65 � 88%.

Timeliness of reporting: All the districts are reporting on time each week since 2008 to till date.

Outbreak response & Investigation

One State Rapid Response Team/ 30 District Rapid Response Teams/377 Block Rapid Response Teams are identified to respond & investigate as & when situation arises for immediate containment of outbreaks at district & sub district level.

Each year guidelines on prevention & management of Acute Diarrhoeal Diseases are circulated sufficiently ahead �of monsoon season and districts are kept in readiness to adress the challenges of waterborne & vectorborne disease outbreaks during monsoon.

The Outbreaks are being investigated by Block/ District/ State Rapid Response Teams �for �immediate containment� measures.

�Suitable samples are collected for lab confirmation during the outbreaks

Media Scanning & rumor verification: Daily scanning of print & electronic media is being done by SSU& DSU. In 2013, 342 rumors were received, all of which were investigated by Block/ District/State RRT and 315 were confirmed..

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SSU, IDSP receives disease outbreak reports from the districts on weekly basis. Even NIL weekly reporting is mandatory and compilation of disease outbreaks/alerts is done on weekly basis. On an average 3-5 outbreaks are reported to SSU weekly. In 2013, 315 outbreaks were reported from January to December 2013. Majority of the reported outbreaks were of Acute Diarrheal diseases (47%), Food poisoning (20%), Measles (14%), etc. Viral hepatitis (5%), Chickenpox (6%) and Anthrax (3%).

In 2014, till May 31st -115 rumors were received, all of which were investigated by Block/ District/State RRT and 108 were �confirmed to be outbreaks of where 36 ADD, 37 Food Poisoining, 14 Measles and 9 were Jaundice.

The three Govt. Medical College & Hospitals of the state are functional as three State Referral Laboratories (SRLs) of the state linking to adjoining districts to conduct the laboratory confirmation of epidemic prone diseases such as Cholera, Viral Hepatitis, Measles, Meningitis, Diphtheria, Dengue, Chikungunya, AES/JE, Anthrax, Leptospirosis etc.

Drawing experiences from dengue outbreak in the year 2011-2013 issues of manpower, logistic, investigation, reporting and media management etc necessary� preventive measures are being taken at district and sub district level for dengue diagnosis, case management and IEC/BCC activities.

State & District preparedness activities like micro-planning for Medical relief operations, manpower deployment, supply & prepositioning of drugs & disinfectants, additional mobility support, preventive disinfection of drinking water sources,� intensified IEC/BCC activities were undertaken both pre cyclone & post cyclone flood period that resulted in no major outbreak in the affected area.

Other Major Activities

Initiation of Multi-sectoral long term action plan under the Chairmanship of �Addl Chief Secretary, Odisha to develop� a� micro plan for connectivity, safe drinking water supply and IEC/BCC activities in all� vulnerable districts of the state to minimize the morbidity & mortality due to Water borne & Vector borne diseases.

Apart from Operational District Public Health Laboratory unit at Koraput, additional two District Public Health Laboratories are planned to function at Kandhamal and Mayurbhanj in 2014.

�Water Quality Monitoring :Ortho-toluidine & H2S test kits are being provided to the district and sub district level for effective routine monitoring of water quality which will reduce the water borne outbreaks.�

Intensive IEC/BCC activities will be further initiated regarding safe drinking water, hand washing, use of sanitary latrine & environmental sanitation, ORS use & preparation the in community by SIH & FW through a specioal campaign like NIDHI RATHA in July � August.

Vulnerable districts will be focused and specific action plan will be prepared to face the challenges in the districts for water & vector borne diseases.

Steps are being taken for involvement of private providers at major cities in disease surveillance activities.

Steps have been taken for training of Doctors, RRT members, urban disease surveillance, Data management

Imp Links

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Govt. of Odisha

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